Screening for post-traumatic stress disorder following childbirth using the Peritraumatic Distress Inventory
Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved..
BACKGROUND: Post-traumatic stress disorder (PTSD) following traumatic childbirth may undermine maternal and infant health, but screening for maternal childbirth-related PTSD (CB-PTSD) remains lacking. Acute emotional distress in response to a traumatic experience strongly associates with PTSD. The Peritraumatic Distress Inventory (PDI) assesses acute distress in non-postpartum individuals, but its use to classify women likely to endorse CB-PTSD is unknown.
METHODS: 3039 women provided information about their mental health and childbirth experience. They completed the PDI regarding their recent childbirth event, and a PTSD symptom screen to determine CB-PTSD. We employed Exploratory Graph Analysis and bootstrapping to reveal the PDI's factorial structure and optimal cutoff value for CB-PTSD classification.
RESULTS: Factor analysis revealed two strongly correlated stable factors based on a modified version of the PDI: (1) negative emotions and (2) bodily arousal and threat appraisal. A score of 15+ on the modified PDI produced high sensitivity and specificity: 88 % with a positive CB-PTSD screen in the first postpartum months and 93 % with a negative screen.
LIMITATIONS: In this cross-sectional study, the PDI was administered at different timepoints postpartum. Future work should examine the PDI's predictive utility for screening women as closely as possible to the time of childbirth, and establish clinical cutoffs in populations after complicated deliveries.
CONCLUSIONS: Brief self-report screening concerning a woman's emotional reactions to childbirth using our modified PDI tool can detect those likely to endorse CB-PTSD in the early postpartum. This may serve as the initial step of managing symptoms to ultimately prevent chronic manifestations.
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:348 |
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| Enthalten in: |
Journal of affective disorders - 348(2024) vom: 01. Feb., Seite 17-25 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Jagodnik, Kathleen M [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 22.01.2024 Date Revised 18.02.2024 published: Print-Electronic UpdateOf: medRxiv. 2023 Apr 26;:. - PMID 37162947 Citation Status MEDLINE |
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| doi: |
10.1016/j.jad.2023.12.010 |
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| Förderinstitution / Projekttitel: |
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NLM365615609 |
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| 100 | 1 | |a Jagodnik, Kathleen M |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Screening for post-traumatic stress disorder following childbirth using the Peritraumatic Distress Inventory |
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| 500 | |a Date Revised 18.02.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a UpdateOf: medRxiv. 2023 Apr 26;:. - PMID 37162947 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved. | ||
| 520 | |a BACKGROUND: Post-traumatic stress disorder (PTSD) following traumatic childbirth may undermine maternal and infant health, but screening for maternal childbirth-related PTSD (CB-PTSD) remains lacking. Acute emotional distress in response to a traumatic experience strongly associates with PTSD. The Peritraumatic Distress Inventory (PDI) assesses acute distress in non-postpartum individuals, but its use to classify women likely to endorse CB-PTSD is unknown | ||
| 520 | |a METHODS: 3039 women provided information about their mental health and childbirth experience. They completed the PDI regarding their recent childbirth event, and a PTSD symptom screen to determine CB-PTSD. We employed Exploratory Graph Analysis and bootstrapping to reveal the PDI's factorial structure and optimal cutoff value for CB-PTSD classification | ||
| 520 | |a RESULTS: Factor analysis revealed two strongly correlated stable factors based on a modified version of the PDI: (1) negative emotions and (2) bodily arousal and threat appraisal. A score of 15+ on the modified PDI produced high sensitivity and specificity: 88 % with a positive CB-PTSD screen in the first postpartum months and 93 % with a negative screen | ||
| 520 | |a LIMITATIONS: In this cross-sectional study, the PDI was administered at different timepoints postpartum. Future work should examine the PDI's predictive utility for screening women as closely as possible to the time of childbirth, and establish clinical cutoffs in populations after complicated deliveries | ||
| 520 | |a CONCLUSIONS: Brief self-report screening concerning a woman's emotional reactions to childbirth using our modified PDI tool can detect those likely to endorse CB-PTSD in the early postpartum. This may serve as the initial step of managing symptoms to ultimately prevent chronic manifestations | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Childbirth | |
| 650 | 4 | |a Childbirth-related PTSD | |
| 650 | 4 | |a Delivery, obstetric | |
| 650 | 4 | |a Diagnosis | |
| 650 | 4 | |a Factorial analysis | |
| 650 | 4 | |a Postpartum PTSD | |
| 650 | 4 | |a Postpartum period | |
| 650 | 4 | |a Receiver Operating Characteristic | |
| 650 | 4 | |a Screening | |
| 650 | 4 | |a Traumatic childbirth | |
| 650 | 4 | |a Validity | |
| 700 | 1 | |a Ein-Dor, Tsachi |e verfasserin |4 aut | |
| 700 | 1 | |a Chan, Sabrina J |e verfasserin |4 aut | |
| 700 | 1 | |a Titelman Ashkenazy, Adi |e verfasserin |4 aut | |
| 700 | 1 | |a Bartal, Alon |e verfasserin |4 aut | |
| 700 | 1 | |a Barry, Robert L |e verfasserin |4 aut | |
| 700 | 1 | |a Dekel, Sharon |e verfasserin |4 aut | |
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